Effect of Pethidine Hydrochloride on the Development of Neural Tube: A Genetic Analysis Study in a Chick Embryo Model

Usame Rakip1, Abdulkadir Bilir2, Evrim Suna Arikan3

  • 1Department of Neurosurgery, Faculty of Medicine, Afyonkarahisar Health Sciences University, Afyonkarahisar, Turkey.

World Neurosurgery
|March 23, 2021
PubMed

Insights

Pethidine hydrochloride negatively impacts neural tube development in chick embryos, showing dose-dependent effects on growth and closure. Further research is needed to understand its teratogenic mechanism.

Area of Science:

  • Developmental Biology
  • Neuroscience
  • Toxicology

Background:

  • Neural tube defects are common congenital abnormalities influenced by genetics and environment.
  • Pethidine (meperidine) is an opioid analgesic with potential developmental risks (FDA Category C).
  • Previous reports suggest pethidine may cause developmental anomalies.

Purpose of the Study:

  • To investigate the effects of varying pethidine hydrochloride doses on neural tube development.
  • To utilize a chick embryo model that mimics early mammalian vertebral growth.

Main Methods:

  • 75 pathogen-free eggs were divided into 5 groups (1 control, 4 experimental).
  • Pethidine hydrochloride was administered in 4 different doses via sub-blastodermic injection.
  • Embryos were evaluated morphologically, genetically, and histopathologically after 48 hours of incubation.

Main Results:

  • Crown-rump length, somite numbers, and AgNOR metrics decreased in a dose-dependent manner.
  • Neural tube closure showed statistically significant differences across experimental groups (P<0.05).
  • BRE gene mRNA levels decreased in exposed embryos, notably in the highest dose group.

Conclusions:

  • Pethidine hydrochloride demonstrably affects neuronal development in chicken embryos.
  • The precise teratogenic mechanism of pethidine hydrochloride remains undetermined.
  • Further investigation is warranted to elucidate the teratogenic pathways of pethidine hydrochloride.
Abstract

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